JACC: Cardiovascular Interventions
Clinical Research
Walking Beyond the GRACE (Global Registry of Acute Coronary Events) Model in the Death Risk Stratification During Hospitalization in Patients With Acute Coronary SyndromeWhat Do the AR-G (ACTION [Acute Coronary Treatment and Intervention Outcomes Network] Registry and GWTG [Get With the Guidelines] Database), NCDR (National Cardiovascular Data Registry), and EuroHeart Risk Scores Provide?
Sergio Raposeiras-Roubín, Emad Abu-Assi, Pilar Cabanas-Grandío, Rosa María Agra-Bermejo, Santiago Gestal-Romarí, Eva Pereira-López, Rubén Fandiño-Vaquero, Belén Álvarez-Álvarez, Cristina Cambeiro, Marta Rodríguez-Cordero, Pamela Lear, Amparo Martínez-Monzonís, Carlos Peña-Gil, José María García-Acuña and José Ramón González-Juanatey
Table 3
Table 3
Sensitivity, Specificity, and Negative and Positive Predictive Values for the Scores and Risk Stratification According to Clinical Criteria
| Risk Scores | Sensitivity | Specificity | Negative Predictive Value | Positive Predictive Value |
|---|---|---|---|---|
| Clinical criteria⁎ | 98.5 | 15.9 | 99.4 | 6.9 |
| Original GRACE RS | 94.4 | 62.1 | 99.4 | 13.7 |
| Update GRACE RS | 84.7 | 59.3 | 98.4 | 11.7 |
| AR-G RS | 74.0 | 87.8 | 98.2 | 27.3 |
RS = risk score; other abbreviations as in Table 2.
↵⁎ High-risk clinical criteria: presence of elevated cardiac troponin I on admission (any elevation ≥0.1 ng/dl), ST-segment deviation ≥2 mm in ≥2 contiguous leads, and/or heart failure at presentation.
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